LEGACY HEALTHCARE SERVICES, INC. (NPI# 1518069913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518069913 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC. |
| Practice Address |
2800 S Dixon Rd Kokomo IN 46902-6403 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2817 |
| Practice Telephone | 7658640237 |
| Practice Fax Number | 7658640239 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | MR. WILLIAM G WILSON JR. (CFO) |
| Authorized Official Telephone | 9194245080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Legacy Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151811 | Legacy Healthcare Services, Inc. | Occupational Therapist | 13716 New Hampshire Ave, Silver Spring, MD 20904-6215 | 2020-07-21 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1730636846 | Legacy Healthcare Services, Inc. | Occupational Therapist | 10665 W 13th St N, Wichita, KS 67212-5600 | 2016-09-07 |
| 1528419751 | Legacy Healthcare Services, Inc. | Physical Therapist | 100 Washington Commons Dr, Apt. 314, Evans, GA 30809-3159 | 2016-06-29 |
| 1689074288 | Legacy Healthcare Services, Inc. | Occupational Therapist | 55 Piney Mountain Dr, Asheville, NC 28805-1297 | 2014-09-02 |
| 1457768335 | Legacy Healthcare Services, Inc. | Clinic/Center | 7900 Creedmoor Rd, Raleigh, NC 27613-4382 | 2014-07-12 |
| 1376953794 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2201 S Lemay Ave, Fort Collins, CO 80525-1900 | 2014-05-07 |
| 1922429422 | Legacy Healthcare Services, Inc. | Home Health | 1748 Kinsaul Willoughby Rd, Greenville, NC 27834-7157 | 2013-12-31 |
| 1780943381 | Legacy Healthcare Services, Inc. | Physical Therapist | 1180 Haywood Rd, Greenville, SC 29615-2286 | 2012-05-16 |
| 1689840266 | Legacy Healthcare Services, Inc. | Skilled Nursing Facility | 1517 Edna Ln, Longview, TX 75602-4915 | 2008-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | LEGACY HEALTHCARE SERVICES, INC. | 164 Wind Chime Court, Raleigh, NC 27615 |
| Iowa Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Rd., Raleigh, NC 27616 |
| Colorado Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Indiana Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Street Address |
2800 S DIXON RD |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333421 | Calvin Ray Berghoff | Physical Therapy Assistant | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2020-03-30 |
| 1366904872 | Bloom At Kokomo, LLC | Assisted Living Facility | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2019-04-03 |
| 1992164875 | Christine Denman | Occupational Therapist | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2016-02-19 |
| 1225410566 | Britney West | Occupational Therapist | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2015-06-23 |
| 1659781359 | Kinetria Jovon White | Occupational Therapy Assistant | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2014-05-02 |
| 1538424502 | Cheryl Ann Jones | Physical Therapist | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2012-07-05 |
| 1558696633 | Amy Marie Matthews | Occupational Therapy Assistant | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2009-10-07 |
| 1629215496 | Teva Leigh Turner | Physical Therapist | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2009-01-14 |
| 1881830214 | Paige A Mckinley | Physical Therapy Assistant | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2009-01-07 |
| 1033362249 | Shannon Bugher | Physical Therapy Assistant | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2008-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566140 | Alvin Guangco | Physical Therapist | 2320 Valentine Rd, Kokomo, IN 46902-3592 | 2020-10-24 |
| 1831701655 | Steven Louis Konechnik | Physical Therapist | 1805 E Hoffer St, Kokomo, IN 46902-2443 | 2020-08-21 |
| 1730638602 | Jose Rodney Evangelista | Physical Therapist | 2209 Carr Dr, Kokomo, IN 46902-9543 | 2016-10-03 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1922356716 | Amy Lynn Zurcher | Physical Therapist | 3110 Lamplighter Ln, Kokomo, IN 46902-8127 | 2012-08-27 |
| 1003149444 | Jeffrey R Bennett Jr. | Physical Therapist | 506 E Southway Blvd, Kokomo, IN 46902 | 2009-09-17 |
| 1275767428 | David Abhishek Khosa | Physical Therapist | 506 E. Southway Blvd, Kokomo, IN 46902-3820 | 2009-05-02 |
| 1154569440 | Bronwen Figg-morrison | Physical Therapist | 2312 S Dixon Rd Ste 250, Kokomo, IN 46902-6426 | 2009-01-26 |
| 1457531550 | Abner Abad Hechanova | Physical Therapist | 419 W Lincoln Rd Apt H5, Kokomo, IN 46902-3545 | 2007-11-06 |
| 1942323852 | Step N Stone LLC | Physical Therapist | 101 W Southway Blvd, Kokomo, IN 46902-3653 | 2007-04-06 |
| Find all providers in KOKOMO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.